Serenity Ranch Assisted Living Home, Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AL11718 Issued in FL

Legal business name

SERENITY RANCH ASSISTED LIVING HOME, INC

Practice address

12475 SW 58TH St
Southwest Ranches, FL 33330-3201

Phone

(954) 533-9184

Fax

(954) 763-2162

NPI assigned

Apr 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lu Ann Samuelson, ADMINASTRATIVE

Title

Owner

Phone

(954) 533-9184

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1659637486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12475 SW 58TH ST",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333303201",
            "telephone_number": "954-533-9184",
            "fax_number": "954-763-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12475 SW 58TH ST",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333303201",
            "telephone_number": "954-533-9184",
            "fax_number": "954-763-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY RANCH ASSISTED LIVING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "SAMUELSON",
        "authorized_official_first_name": "LU ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-533-9184",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINASTRATIVE"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "FL",
            "license": "AL11718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Ruiz, LMHC
• Narinder Kaur Sarohia, OT
• Jayden Presley Schwartz
• Denise Carol Semashko, MD
• Serenity Ranch Assisted Living Home , Inc
• Sierra Dental Inc.
• Florence L Solages, M.D.
• Vivian I Solivan, D.C.
• Emily Spatz, LMFT
• Speech, Language, and Literacy Connection, Inc

• Physical Disabilities Residential Treatment Facility in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Physical Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.